Formula adjustment (Nutramigen or Pregestimil)

Formula Adjustment
(Nutramigen or Nutramigen with Enflora LGG )
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Why do I need to adjust the calories
in my baby’s formula?
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Nutramigen or Nutramigen with Enflora™
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LGG are made for babies who have allergies
or need a formula that is easy for them to
digest. Nutramigen® powder with Enflora™
LGG® contains a probiotic to keep the
stomach and intestines healthy and working
normally.
These formulas are usually prepared to 20
calories per ounce, but some babies may
need a different calorie level to gain the
right amount of weight.
How do I mix the formula?
1. Wash your hands and work surfaces with
soap and water. Wash the top of the
formula can before opening to prevent
germs from getting into the baby’s
feeding. Use clean measuring utensils
and containers.
2. Let the cold tap water run for 1-2
minutes before mixing with the formula
to flush the water sitting in the pipes.
Well water may contain bacteria and
should not be used to make infant
formula.
3. Follow the instructions in the next
column for either liquid concentrate or
powdered formula.
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Using Nutramigen® liquid
concentrate
1. Check the formula label. It should read
“concentrate,” not “ready-to-use.”
Shake the can before opening.
2. Check the recipe chart for liquid
concentrate on page 3. Pour the formula
concentrate from the can into another
container.
3. Measure the desired amount of water in
a clear, liquid measuring cup. Set the
container on a level surface, and check
the level of the liquid at eye level. Add
the water to the concentrate and mix
well.
Using Nutramigen with Enflora
LGG powder
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1. Check the recipe chart for powdered
formula on page 4. Using a clear, liquid
measuring cup, measure the desired
amount of water. Set the measuring cup
on a flat surface, and check the level of
the liquid at eye level.
2. Use only cool water to make the
formula. Using warm or hot water can
limit the benefits from the probiotics.
3. Use only the scoop provided in the
formula can or measuring utensils
intended for dry ingredients. Pack and
level the formula powder. Add the
powder on top of the water.
4. Mix or shake well until all lumps are
gone.
Formula adj.: Nutramigen, Nutramigen with Enflora LGG
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How long can I keep the formula?
Questions?
Store prepared formula in a covered
container in the refrigerator.
If you have any questions, please call
Nutrition Services at your hospital during
daytime hours.
Throw away any unused formula prepared
from concentrate after 48 hours.
Throw away any unused formula prepared
from powder after 24 hours.
Children’s - Minneapolis
Children’s - St. Paul
612-813-6865
651-220-5678
Throw away any unused formula powder
one month after opening the can.
Preparing to feed your baby
1. Shake the formula well.
2. Warm the formula in one of these ways:
•
Run warm tap water over the
bottle.
•
Set the bottle in a pan of warm
water
•
Nutramigen® with Enflora™ LGG®
should not be warmed beyond
room temperature (75°F). Higher
formula temperatures can limit
the benefits from the probiotics.
•
Do not use a microwave because
it heats unevenly, causing “hot
spots” that could burn the baby’s
mouth.
3. After warming, shake the bottle again.
Always test the temperature of the
formula before feeding.
4. Throw away any formula left in the
baby’s bottle after a feeding.
Formula adj.: Nutramigen, Nutramigen with Enflora LGG
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Nutramigen®
Liquid concentrate recipe chart
Calories per ounce
Concentrate
Water
Final volume
22
13 ounces (1 can)
11 ounces
24 ounces
24
13 ounces (1 can)
9 ounces
22 ounces
26
13 ounces (1 can)
7 ounces
20 ounces
27
13 ounces (1 can)
6 ounces (¾ cup)
19 ounces
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13 ounces (1 can)
Note: To make 20 calorie-per-ounce formula, follow the directions on the can.
Formula adj.: Nutramigen, Nutramigen with Enflora LGG
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Nutramigen with Enflora LGG
Powdered formula recipe chart
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Calories per ounce
22
24
26
27
Water
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Formula powder
(packed, level)
Approximate final
volume
2 ½ ounces
5 ½ ounces
10 ounces (1¼ cups)
15 ounces
20 ounces (2½ cups)
2 tablespoons
3 scoops
½ cup
8 scoops
1 cup
3 ounces
6 ounces
11 ounces
17 ounces
22 ounces
6 ounces (¾ cup)
8 ounces
9 ounces
13 ounces
18 ounces (2¼ cups)
⅓ cup
5 scoops
½ cup
8 scoops
1 cup
7 ounces
9 ounces
10 ounces
15 ounces
20 ounces
3 ounces
8 ounces (1 cup)
11 ounces
12 ounces (1½ cups)
20 ounces (2½ cups)
2 scoops
½ cup
⅓ cup + ⅓ cup
8 scoops
1 cup + ¼ cup
3½ ounces
9 ounces
12½ ounces
14 ounces
23 ounces
9 ounces
10 ounces (1¼ cup)
13 ounces
15½ ounces
¼ cup + ⅓ cup
7 scoops
9 scoops
1 cup
10½ ounces
11½ ounces
15 ounces
18 ounces
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1 Tablespoon = 3 teaspoons
Note: To make 20 calorie-per-ounce formula, follow the directions on the can.
Children’s Hospitals and Clinics of Minnesota
Patient/Family Education
2525 Chicago Avenue South
Minneapolis, MN 55404
05/2013 Copyright
Formula adj.: Nutramigen, Nutramigen with Enflora LGG
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